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; A�pL� ( �� - APPLICATION FOR SERVICE ORDERE N° Z325 <br /> i "°' CITY JP EVERETT WATER DEPT. <br /> DATE.— —i 9— <br /> � FIXED <br /> � e4 W. O. <br /> , � DEPOSIT s y 0 B � No. <br /> . !>-..�.�5= <br /> I s G'v r Pa�•� <br /> SERVICE (eYwonREes> �3J �Ja'�5 'E� �/`IU�' BLK. Z LOT�—ADD. r J-�� <br /> � .L il L ' <br /> � OWNER!'�✓I��'� ^� �/G�hi ,�_ GONTRAGTOR�h/t� Lu:c� C�d�J/_Qp�.— <br /> I �L��1 <br /> � INSTAL��C'���TERED SERVICE — <br /> �� 1 <br /> I I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE / / `� � _ �-} / <br /> I ORDINANCES AND POLICIES OF THE WA7ER DEPARTMENT NOW EXISTING B�GNEO:K/ =1=�� {�� <br /> OR AS SAME MAY BE HEREAFTER CHANGED. <br /> � �/i IN. 1 IN. � 2 IN. I PRIGE AMOUNT <br /> MATERIALS <br /> / I <br /> I p�pE COPPER-GALV.--STEEL _ I ��1i__. <br /> I CORPORATION _ / — ' — <br /> Ir CURB COCK� OT <br /> I SERVICE BOX� PLAS7IC •- C I � II I _ _ _. <br /> � METER VALVE _ — ----- — --� <br /> � METER No. TYPE� I Y° _ - - -- <br /> I METER BOX CONCRETE SMALL LARGE _ __I___ <br /> j�icJ ��l. Cc`���yiA•'_ I — <br /> '-- -;-�„ s� - _� --�___l_ <br /> � _ - - �i_ -- <br /> i � �—� - - <br /> ! - I I i <br /> 1 I � �N <br /> I DATE INSTALLED: //� �O , <br /> � OFF SUB 70TAL <br /> C�I LABOR AND Eql11PMEN'f RENTAL HOURS RATC <br /> � _�O.f/_�_ Z_ <br /> � � l�! oiP�li ��_ - <br /> I-- I �� /,� _�C'<�- �-.�- -- <br /> � ,,- ��' _ ���' �-�'- - <br /> I I - I <br /> I � ---� - <br /> i <br /> i-- I TOTAL � <br /> iREMARKS:�>F;_._,�,�J-T�-�-�� _. �'..' i.�, ,�______ _ <br /> ' ' --____.____-_ -___—_.. . . . . . __ ._ _ _ __ ___-_ _. . _ _-. _ . _ _ <br /> -. 7 <br />